| NPI | 1306276845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6604) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP5381) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2023-11-14 |