| NPI | 1912355827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C4769) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-11-29 |