| NPI | 1821639709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2019037058) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: MO 2019037058) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-04 |