| NPI | 1942779673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12733) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8854) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2024-10-29 |