| NPI | 1811607732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 262239) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4323) |
| 101YP2500X Counselor, Professional (Licence: AL 3471) | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |