| NPI | 1396202958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7993) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 19317) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2025-06-25 |