| NPI | 1043869399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC LGPC00673) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC14648) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2026-08-14 |