| NPI | 1679803456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5535) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2025-06-25 |