| NPI | 1841166410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC16695) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC013662) |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |