| NPI | 1679238422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2269) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 7069) |
| Enumeration Date | 2021-11-06 |
| Last Update Date | 2021-11-06 |