| NPI | 1770221954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0018274) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 004308) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |