| NPI | 1487392056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13917) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP11870) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-05-30 |