| NPI | 1073182945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8554) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 20328) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2025-12-22 |