| NPI | 1447635750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12445) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC10961) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2023-11-21 |