| NPI | 1972999209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6182) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6182) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2025-08-01 |