| NPI | 1902099732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14724) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2020-05-14 |