| NPI | 1144643917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA 009807) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 10637) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2025-12-22 |