| NPI | 1023589843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11622) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9207) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2021-07-16 |