| NPI | 1831576180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 266) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1973) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2024-07-11 |