| NPI | 1417555707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12712) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP10564) |
| 101YP2500X Counselor, Professional (Licence: PA PC015490P) | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2024-04-22 |