| NPI | 1528711330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 179636) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2023-04-12 |