| NPI | 1003457052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 17738) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C7863) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2026-07-01 |