| NPI | 1972075216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VT 068.0135529) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 35429) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2024-02-09 |