| NPI | 1710511886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7532) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6474) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2023-09-01 |