| NPI | 1497909063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VT 068.0133163) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1575) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2026-07-28 |