| NPI | 1578144275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 15324) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2716) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-01-19 |