| NPI | 1013264902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC P018825) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC LCAS-2859) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2025-11-20 |