| NPI | 1104389071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12334) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9228) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-02-21 |