| NPI | 1174989222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7063) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP5656) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2022-03-16 |