| NPI | 1740792548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8614) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP5782) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-04-25 |