| NPI | 1003567660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 283014) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 23837) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2025-12-16 |