| NPI | 1609658822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 005392) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3413) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |