| NPI | 1629658240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04802) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL C3657A) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2023-06-19 |