| NPI | 1407335938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10759) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8890) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2020-09-02 |