| NPI | 1376102368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7247-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C10766) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2026-02-11 |