| NPI | 1790215531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 001887) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 4573) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-05-28 |