| NPI | 1508483561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 3066) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 12237) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2025-02-14 |