| NPI | 1538639992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9305) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7646) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2020-01-22 |