| NPI | 1780235341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013645) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM ctb-2022-0151) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2025-07-16 |