| NPI | 1023699683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP11379) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC13787) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2025-08-12 |