| NPI | 1760974596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 16030) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2018013675) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00899200) | |
| 101YP2500X Counselor, Professional (Licence: DE PC-0011186) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-10-01 |