| NPI | 1699483982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC 200001637) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-21155) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2026-05-01 |