| NPI | 1881347714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC8050) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 8050) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-11-29 |