| NPI | 1558928622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8746) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE 0011264) |
| 101YP2500X Counselor, Professional (Licence: PA 014586) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-09-03 |