| NPI | 1760608632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 21240) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 10844) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-04-07 |