| NPI | 1235434416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3767) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14205) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2024-04-25 |