| NPI | 1457839037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11435) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8671) |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2021-05-13 |