| NPI | 1881168706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 20274) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 20274) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2025-08-25 |