| NPI | 1538874581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD 32302) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL ISW18301) |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2024-10-08 |