| NPI | 1689202178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2942) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS P-0566) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-03-29 |