| NPI | 1124603766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13621) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC13621) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-10-21 |