| NPI | 1205679313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LGP15092) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC LGPC200001689) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-08-27 |