| NPI | 1720609795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14095) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC15337) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-01-23 |