| NPI | 1982166773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0014859) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC0014859) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2025-06-23 |