| NPI | 1649885526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8388) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 7404) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2023-02-28 |