| NPI | 1730600727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9561) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 009581) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-06-13 |