| NPI | 1356583744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4670) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGPC2860) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2020-04-24 |