| NPI | 1942760137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC C013893) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0904015221) |
| 101Y00000X Counselor (Licence: WI 130870-21) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-12-09 |