| NPI | 1194442798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC WILS-87UXOJ) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 10880) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2025-07-18 |