| NPI | 1851931232 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7596) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV CI724) | 
| Enumeration Date | 2020-01-13 | 
| Last Update Date | 2025-04-23 |