| NPI | 1902450794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 15011) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A15011) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2025-03-24 |