| NPI | 1952037327 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 17544)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL6703)  | 
| Enumeration Date | 2022-07-28 | 
| Last Update Date | 2024-10-13 |