| NPI | 1669744355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5379) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 006522) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2025-09-05 |