| 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 |