| NPI | 1730617580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 19040) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 6367) |
| 101YP2500X Counselor, Professional (Licence: SC 11738) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2026-05-20 |