| NPI | 1528598687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6821) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6359) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-07-23 |