| NPI | 1922770239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12328) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP10139) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-01-29 |