| NPI | 1124421839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 6473) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 6473) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2025-06-11 |