| NPI | 1134512130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC82222) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP6188) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2025-02-21 |