| NPI | 1922468339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5497) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4642) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2022-06-28 |