| NPI | 1831613991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S7510) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85472) |
| 101YP2500X Counselor, Professional (Licence: CA 21153) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2025-11-12 |