| NPI | 1790049690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6380) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 23322) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2025-09-10 |