| NPI | 1003466798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200001884) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC013744) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-06-20 |