| NPI | 1063651651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2284) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC6189) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2025-04-23 |