| NPI | 1902867757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 9822) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 2267) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-01-22 |