| NPI | 1407598832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA 009083) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 00117309) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2025-05-09 |