| NPI | 1245560929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC-5512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 4394) |
| Enumeration Date | 2010-01-02 |
| Last Update Date | 2026-02-25 |