| NPI | 1396407524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4514) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL 24820) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2025-10-02 |