| NPI | 1710465794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM CTB20250204) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CTB20250204) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2025-07-23 |