| NPI | 1710702030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05211) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2950) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |