| NPI | 1700439098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 3036) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL 7586) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-06-02 |