| NPI | 1538634902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C6347) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR R5458) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2022-01-27 |