| NPI | 1487394425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 7327) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2339) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |