| NPI | 1720950132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0022812) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701015811) |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2026-05-26 |