| NPI | 1023609294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 11618) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 16306) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2026-04-20 |