| NPI | 1518421718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13084) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP8649) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2022-10-04 |