NPI | 1477155711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13172) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP10951) |
Enumeration Date | 2020-11-11 |
Last Update Date | 2025-01-11 |