| NPI | 1659746840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6630) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00844500) |
| 101YP2500X Counselor, Professional (Licence: MN cc04451) | |
| 101YP2500X Counselor, Professional (Licence: TX 84733) | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2025-10-13 |