| NPI | 1346963840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LGP13106) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC LGPC200001827) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2025-01-24 |