| NPI | 1790224236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2369) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC 5828) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2024-08-06 |