| NPI | 1578033445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7706) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: CO 0023756) | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2026-04-25 |