| NPI | 1891596318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 614-10-1-08) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: 02107) |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |