| NPI | 1043738347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12467) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14920) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2024-09-28 |