| NPI | 1467293845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 010239) |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-01 |