| NPI | 1275307712 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013054) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC16526) | 
| 101YP2500X Counselor, Professional (Licence: FL MH25761) | |
| Enumeration Date | 2023-11-14 | 
| Last Update Date | 2025-06-24 |