| NPI | 1750985354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4662) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C3600A) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2022-05-23 |