| NPI | 1457804148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MS 1843) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 1843) |
| 101Y00000X Counselor (Licence: LA 9780) | |
| 101YP2500X Counselor Professional (Licence: LA 9780) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2024-09-30 |