| NPI | 1154832657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC728) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC7554) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-06-16 |