| NPI | 1457655722 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8430) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A8430) | 
| Enumeration Date | 2010-12-30 | 
| Last Update Date | 2025-04-28 |