| NPI | 1235969791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 10212) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701016472) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2026-08-05 |