| NPI | 1205314390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14294) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC13000) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2025-02-11 |