| NPI | 1780556910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LGP16850) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0704017882) |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |