| 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 |