| NPI | 1184040206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC8271) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LGP5445) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2022-07-21 |