| NPI | 1922771120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC7604) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 82993) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2025-04-01 |