| NPI | 1376106542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9804) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MD LGP8094) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2023-04-12 |