| NPI | 1861813701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6483) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701015318) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2026-06-23 |