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 |