| NPI | 1801299854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4007) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2032) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2021-01-14 |