| NPI | 1457015612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8359) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 7296) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2023-05-23 |