| NPI | 1881455749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1297) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0019144) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |