| NPI | 1568919850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 133279) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 180062) |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2025-04-03 |