| NPI | 1669863643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8102) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP6142) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2021-11-09 |