| NPI | 1174136857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0016162) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0016162) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2025-06-24 |