| 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 |