| NPI | 1609438225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11555) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9650) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2023-06-05 |