| NPI | 1003413345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC15076) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP12696) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2024-06-03 |