| NPI | 1619531092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A14885) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 00387921) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2023-11-27 |