| NPI | 1760142335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 1461554) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C3988A) |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |