| NPI | 1912646092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LGP12318) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC LGPC200001224) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |