| NPI | 1689097123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6716) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 3016) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2025-01-21 |