| NPI | 1528725611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04498) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701015135) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2025-09-05 |