| NPI | 1285288969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC PRC15513) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC11371) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2026-01-09 |