| NPI | 1922778190 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7982)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 46.005703)  | 
| 101YP2500X Counselor, Professional (Licence: PA PC014913P)  | |
| 101YP2500X Counselor, Professional (Licence: MD LC13050)  | |
| Enumeration Date | 2021-09-17 | 
| Last Update Date | 2024-07-24 |