| NPI | 1972195022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12631) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP11186) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2022-04-28 |