| NPI | 1780859777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3158) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP422) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-01-26 |