NPI | 1811587595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12007) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9972) |
Enumeration Date | 2021-01-26 |
Last Update Date | 2023-04-19 |