| NPI | 1386194264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2731) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 261246) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2025-10-01 |