| NPI | 1639677727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9552) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8307) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2022-06-23 |