| NPI | 1811452444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0017579) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0016087) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2021-09-17 |