| NPI | 1932760469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC11444) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP9616) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2021-05-08 |