| NPI | 1871137638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12182) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC LGPC00489) |
| 101YP2500X Counselor, Professional (Licence: MD LGP9449) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2022-03-07 |