| NPI | 1578231825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C9115) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61200218) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-04-17 |