| NPI | 1821438797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10306) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701011178) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2026-08-03 |