| NPI | 1669875290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7498) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP5889) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2022-07-21 |