| NPI | 1437765310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12967) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP10824) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2022-08-09 |