| NPI | 1558915405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0016623) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AL 4303) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2025-06-02 |