| NPI | 1184058323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7354) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC200001331) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2024-05-06 |