| NPI | 1740799477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10913) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7851) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-05-12 |