| NPI | 1821506171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR R5074) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R5074) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2024-08-02 |