NPI | 1447724398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC10727) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP8938) |
Enumeration Date | 2019-01-14 |
Last Update Date | 2024-01-15 |