| NPI | 1881946366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4489) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14317) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2022-07-21 |