| NPI | 1669136271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12393) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC15113) |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-09-22 |