| NPI | 1548048150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL ALC04304) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL A335) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |