| NPI | 1508412750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 15027) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 8826) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-10-17 |