| NPI | 1518536622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A16580) |
| Additional Taxonomies | 251S00000X (Licence: NC A16580) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-23 |