| NPI | 1871080481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9416) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701012665) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-07-28 |