| NPI | 1124459789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9826) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14405) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2021-02-22 |