| NPI | 1891271292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7547) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6901) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2021-06-03 |