| NPI | 1063168599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC15239) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC15239) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2026-01-14 |