| NPI | 1285199950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC11571) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP8906) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2021-10-08 |