| NPI | 1619675493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 009111) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO COS.0503726) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2026-07-02 |