| NPI | 1336846062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LGP13511) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP13511) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |