| NPI | 1235763962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 10149) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2021-05-06 |