| NPI | 1093364499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10745) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8423) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-11-19 |