| NPI | 1669946455 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5386) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5173) | 
| Enumeration Date | 2019-01-15 | 
| Last Update Date | 2025-08-06 |