| NPI | 1063158764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC15088) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP12611) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2024-05-01 |