| NPI | 1558149138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR R8564) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-04-11 |