| NPI | 1356695449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9570S) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 9570) |
| 101YP2500X Counselor, Professional (Licence: NC A9570) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2026-06-27 |