| NPI | 1366149460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC15002) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD ATG344) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2025-01-09 |