| NPI | 1508436114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 04738) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C3704A) |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2023-02-28 |