| NPI | 1336563527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008042) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14418) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2019-01-29 |