| NPI | 1497214910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10250) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP8479) |
| 101YP2500X Counselor, Professional (Licence: MD LGP8479) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2022-05-11 |