| NPI | 1649825159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7477) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 7477-125) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2025-07-10 |