| NPI | 1487479994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: APC000652) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA APC000652) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |