| NPI | 1629834890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0020166) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0020166) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-09-16 |