| NPI | 1962974139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12280) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP9054) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2024-05-07 |