| NPI | 1255962791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0160) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 0160) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |