| NPI | 1114379526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC16433) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ LC16433) |
| 101YP2500X Counselor, Professional (Licence: MI 6401225281) | |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2025-09-08 |