| NPI | 1124806278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC16895) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP14194) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-10-09 |