NPI | 1104307438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11528) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2018-08-24 |
Last Update Date | 2022-01-27 |