| NPI | 1447760046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP7593) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC LGPC90144) |
| 101YP2500X Counselor, Professional (Licence: MD LC9663) | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2022-11-07 |