| NPI | 1790242634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14655) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A14655) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2024-10-29 |