| NPI | 1518477520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6690) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 18417) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2025-01-02 |