| NPI | 1801261292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2599) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5580) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2023-08-23 |