| NPI | 1154168540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 16493) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: CA 16493) | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2025-05-30 |