| NPI | 1962125013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC9045) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLM1465) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2024-09-04 |