| NPI | 1811698160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10760) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 8395) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2025-04-03 |