| NPI | 1669065835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13056) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP10764) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-09-02 |