| NPI | 1568882413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5600) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14388) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2021-05-28 |