| NPI | 1174343487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC LGPC200001744) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP15761) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-22 |