| NPI | 1710496823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8373) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC8373) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2025-01-09 |