| NPI | 1558182873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 5209) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC009238) |
| Enumeration Date | 2024-10-19 |
| Last Update Date | 2025-10-10 |