| NPI | 1558825968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7695) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701012757) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2025-09-09 |