| NPI | 1922878891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC16934) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP13363) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2025-08-27 |