| NPI | 1780049643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5658) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 014481) |
| Enumeration Date | 2015-12-19 |
| Last Update Date | 2026-05-15 |