| NPI | 1922466234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 5559) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 011058) |
| 101YP2500X Counselor, Professional (Licence: MD 10126) | |
| 101YP2500X Counselor, Professional (Licence: CT 46.003855) | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2022-10-27 |