| NPI | 1902379480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05046) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL LPC05046) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-11-01 |