| NPI | 1447724398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10727) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP8938) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2026-05-29 |