| NPI | 1568982254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13033) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13033) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-06-21 |