| NPI | 1548819832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4138) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701013048) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2025-04-01 |