| NPI | 1124504196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 115599) |
| 101YP2500X Counselor, Professional (Licence: NE 3321) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2026-03-31 |