| NPI | 1437792496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC18170) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2025-10-12 |