| NPI | 1003374133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP9095) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC10960) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2022-06-28 |