| NPI | 1295240752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6675) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 245082) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2025-05-22 |