| NPI | 1275989113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC7869) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 6932) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-06-15 |