| NPI | 1033740352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 105149-02) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP10187) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2022-09-29 |