| NPI | 1922444066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6197) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP4979) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2017-03-14 |