| NPI | 1164164166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8215) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14857) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |