| NPI | 1639952138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP6235) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 018021) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2026-08-07 |