| NPI | 1518461367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10179) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101Y00000X Counselor (Licence: MD LGP8478) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2020-01-27 |