| NPI | 1902563752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0009926330) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 6651G) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2025-05-27 |