| NPI | 1962134478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR A2204011) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 0014963) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |