| NPI | 1801419122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6795) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |