| NPI | 1598397416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC12082) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD ATG276) |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2023-10-03 |