| NPI | 1205029618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 2718) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 4767) |
| 101YP2500X Counselor, Professional (Licence: DC 14204) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-07-27 |