| NPI | 1770986952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11539) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP5922) |
| 101YP2500X Counselor, Professional (Licence: CA 4020) | |
| 101YP2500X Counselor, Professional (Licence: MD LC7826) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2022-05-12 |