| NPI | 1194403840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 22235) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC16664) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2026-06-25 |