| NPI | 1750800769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 178.014970) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP7976) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2023-07-20 |