| NPI | 1215543798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12031) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP9977) |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2021-10-27 |