| NPI | 1386292266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11945) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9843) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2021-10-06 |