| NPI | 1417429150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP9239) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC11743) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2025-12-23 |