| NPI | 1891034872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 10129) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2548) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2023-04-04 |