| NPI | 1700575594 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 181583) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37pc00980200) | 
| 101Y00000X Counselor (Licence: PA pc016990) | |
| 101Y00000X Counselor (Licence: DE PC-0011653) | |
| Enumeration Date | 2023-05-05 | 
| Last Update Date | 2025-06-11 |