| NPI | 1992122717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C9349) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 0014981) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2025-01-14 |