| NPI | 1750624490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VT 068.0107978) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4888) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2025-08-19 |