| NPI | 1922518307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13379) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13379) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2023-12-13 |