| NPI | 1598347783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC13616) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LGP11243) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2023-10-10 |