| NPI | 1801245691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 43602) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 6701) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-08-10 |