| NPI | 1043905896 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP13767)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP13767)  | 
| Enumeration Date | 2023-04-07 | 
| Last Update Date | 2023-04-07 |