| NPI | 1669796157 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 5128) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5128) | 
| Enumeration Date | 2010-03-26 | 
| Last Update Date | 2025-05-21 |