| NPI | 1083146625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC LGPC00087) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP6561) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2017-04-02 |