| NPI | 1508582511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |