NPI | 1396054268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4723) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP3333) |
Enumeration Date | 2010-09-27 |
Last Update Date | 2022-08-28 |