| NPI | 1689102345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3390) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-11-01 |