| NPI | 1780359778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 8437) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701010677) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2023-05-31 |