| NPI | 1235947771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 701015136) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL MH25321) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-08-22 |