NPI | 1568961753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8861) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7802) |
Enumeration Date | 2018-02-02 |
Last Update Date | 2020-02-04 |