NPI | 1679272645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC162668) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC162668) |
Enumeration Date | 2023-02-28 |
Last Update Date | 2025-03-17 |