| NPI | 1679344238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 013914) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 7657) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |