| NPI | 1629620836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2703) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS P-0529) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-10-26 |