| NPI | 1841560604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5055) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP4271) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2021-07-01 |