| NPI | 1124804588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13947) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC200012822) |
| 101YP2500X Counselor, Professional (Licence: PA PC015050) | |
| 101YP2500X Counselor, Professional (Licence: TX 92720) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701016157) | |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2026-07-01 |