| NPI | 1669925103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC8845) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP7235) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-01-05 |