NPI | 1659808400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 10558) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7831) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-03-23 |