| NPI | 1548745748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2570) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS P-0138) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2021-12-10 |