| NPI | 1255038493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10765) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 8397) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2025-03-10 |