| NPI | 1033709274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 268140) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 268140) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2025-07-30 |