| NPI | 1689989634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3122) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC LPC13457) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2025-03-17 |