| NPI | 1528682572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13570) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP11229) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-03-07 |