| NPI | 1447957873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11638125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7257-226) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2025-07-08 |