| NPI | 1255862793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC15778) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0015919) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2024-12-05 |