| NPI | 1770245193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05778) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 17040) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2025-12-10 |