| NPI | 1760937254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14781) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC011504) |
| 101YP2500X Counselor, Professional (Licence: MN 02481) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2025-09-25 |