| NPI | 1114375474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4817) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 4817) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2025-06-03 |