| NPI | 1194090704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6360) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0006360) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2025-06-30 |