| NPI | 1487061511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC078) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14357) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2020-09-28 |