| NPI | 1548728074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: 6681) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2025-07-20 |