| NPI | 1609594829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 229137) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C11574) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2026-07-07 |