| NPI | 1629469739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4245) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 4245) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2025-06-05 |