| NPI | 1639369093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 1278) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2025-02-10 |