| NPI | 1073288643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC LGPC00559) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP11593) |
| Enumeration Date | 2021-08-15 |
| Last Update Date | 2021-08-15 |