| NPI | 1356033211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC16204) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP13851) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-06-17 |