| NPI | 1396402095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC LC9274) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC14369) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2026-03-17 |