| NPI | 1316100530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6985) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701010253) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2025-08-14 |