| NPI | 1770042244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 14579) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A14579) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2022-04-07 |