| NPI | 1255573648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DC PRC14010) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC2776) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2019-06-27 |