| NPI | 1033697842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC PRC14414) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: HI MHC515) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |