| NPI | 1720604341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LP14071) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011631) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2025-07-21 |