| NPI | 1376290114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14828) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP12405) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2024-07-09 |