| 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 |