| NPI | 1457974768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LPC-21584) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC-16987) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-01-13 |