| NPI | 1629553540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14256) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A14256) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2022-09-29 |