| NPI | 1245663343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3854) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2411) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2026-03-30 |