| NPI | 1558939637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4719) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-21 |