| NPI | 1578254090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10372) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701012474) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2025-06-02 |