| NPI | 1861977944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC12858) |
| 101YP2500X Counselor, Professional (Licence: PA PC012337) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2023-01-17 |