| NPI | 1033866843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12833) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP10612) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-07-01 |