| NPI | 1811478514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL C3129A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 4608) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2025-03-19 |