| NPI | 1710700703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 8795) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 23870) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-05-24 |