| NPI | 1801536396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8168) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0016935) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2024-05-09 |