NPI | 1821656257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12850) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP9507) |
Enumeration Date | 2019-05-31 |
Last Update Date | 2022-10-23 |