| NPI | 1972390896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 9048) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: SC 244053) |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |