| NPI | 1033598933 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 6464) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 15109) | 
| Enumeration Date | 2015-05-25 | 
| Last Update Date | 2024-03-18 |