| NPI | 1578123717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11313) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9400) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2021-11-28 |