| NPI | 1225817372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C10856) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R8447) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2025-11-10 |