| NPI | 1023766052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14659) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP12298) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2023-12-31 |