| NPI | 1558932954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC13732) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC200001937) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2023-12-20 |