| NPI | 1568074482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC13063) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 101YS0200X Counselor School (Licence: MD 3037) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-05-17 |