| NPI | 1518414085 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 013725)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701012326)  | 
| 101YP2500X Counselor, Professional (Licence: LA 7571)  | |
| Enumeration Date | 2016-09-01 | 
| Last Update Date | 2025-09-26 |