| NPI | 1750064051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SD 20995) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1371) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2024-06-05 |