| NPI | 1427202514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3698) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP2941) |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2025-03-11 |