| NPI | 1467162545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0022993) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 8291) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2026-01-05 |