| NPI | 1700585080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC16222) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP13602) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2025-05-30 |