| NPI | 1083349906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C9084) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC6225) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2025-04-21 |