| NPI | 1215561915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1675) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 23036) |
| 101YP2500X Counselor, Professional (Licence: OR C8769) | |
| 101YP2500X Counselor, Professional (Licence: CO 0017704) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2026-06-05 |