| NPI | 1629704796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 3302) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS P-0792) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2025-07-14 |