| NPI | 1558107482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LGP13619) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-05 |