| NPI | 1780150383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC11692) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-07-31 |