| NPI | 1609337146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LG8765) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2020-10-20 |