| NPI | 1053081802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 1157-10-1-21-616) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2025-09-10 |