| NPI | 1164008389 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200002093) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LGPC00879) | 
| Enumeration Date | 2021-03-18 | 
| Last Update Date | 2024-11-15 |