| NPI | 1801459136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11420) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9483) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2023-11-26 |