| NPI | 1518501691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL 19928) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 13122) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2024-03-01 |