| NPI | 1639427180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4559) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2024-04-30 |