| NPI | 1841325644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18215) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2026-06-27 |