| NPI | 1568989127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC9210) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-03-15 |