| NPI | 1972940047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6701) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005405) |
| 101YP2500X Counselor, Professional (Licence: DC PRC15296) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2020-10-26 |