| NPI | 1033632559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4340) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701010984) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2025-06-16 |