| NPI | 1619261849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011015154) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 19238) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2025-07-31 |