| NPI | 1508698259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 22767) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC017200) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2026-05-27 |