| NPI | 1851164396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL LPC05646) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL ALC04078) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-07-22 |