| NPI | 1891184818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701005995) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC5658) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2023-12-27 |