| NPI | 1124572789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8873) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7265) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2021-02-23 |