| NPI | 1588483077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A20522) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 9053) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |