| NPI | 1780131367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC03759) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C2378A) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-05-07 |