| NPI | 1679042071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9924) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8151) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2022-11-07 |