| NPI | 1356191977 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 13826)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 134612)  | 
| Enumeration Date | 2024-03-26 | 
| Last Update Date | 2025-10-06 |