| NPI | 1487449823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY P130753) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704017080) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |