| NPI | 1821570375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 10821) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3866) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2020-02-23 |