| NPI | 1942338439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC12597) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LGP9611) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-04-18 |