| NPI | 1124392915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3938) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 20134) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2025-08-17 |