| NPI | 1194186783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14985) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 12301) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2025-07-31 |