| NPI | 1235524901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LGP6156) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC11599) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2021-06-19 |