NPI | 1164980785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11859) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9262) |
Enumeration Date | 2019-03-04 |
Last Update Date | 2024-01-05 |