| NPI | 1215345129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 2126) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0013277) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2026-08-11 |