| NPI | 1548818347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12301) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9793) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-10-22 |