| NPI | 1255912606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12549) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP10398) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2024-09-16 |