| NPI | 1609104009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC5434) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5434) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2025-06-19 |