| NPI | 1255623898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6148) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5308) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2025-08-01 |