| NPI | 1891321634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12680) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9829) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2022-05-16 |