| NPI | 1326409954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14899) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4896) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2018-07-02 |