| NPI | 1346788528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14775) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD ATC101) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |