| NPI | 1760219703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 743189) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6611) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |