| NPI | 1922755974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 2105) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03465) |
| 101YP2500X Counselor, Professional (Licence: MO 2022045845) | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2026-03-04 |