| NPI | 1629797030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2026003724) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: HI MHC-1192-0) |
| 101Y00000X Counselor (Licence: NJ 37PC01190600) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2026-04-20 |