| NPI | 1063806495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7579) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC1643) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2026-06-10 |