| NPI | 1194223636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC15390) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP8116) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2022-04-27 |