| NPI | 1588128292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11602) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP6827) |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2021-06-30 |