| NPI | 1376187138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9928) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701007848) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2023-03-28 |