| NPI | 1194380618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010697) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3228) |
| 101YP2500X Counselor, Professional (Licence: DC PRC200001540) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-08-13 |