| NPI | 1982135869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12861) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL LPC04792) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-07-02 |