| NPI | 1962995530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9527) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7592) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2020-07-17 |