| NPI | 1174130298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7553) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 21823) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2025-08-04 |