| NPI | 1861211724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA S95992758) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 23888) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |