| NPI | 1437717246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3148) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13603) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |