| NPI | 1760754576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5329) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2025-08-05 |