| NPI | 1558915405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 4303) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0016623) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-07-17 |