| NPI | 1720750748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14172) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP11918) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-09-29 |