| NPI | 1366073744 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200002136) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.016521) | 
| Enumeration Date | 2020-02-04 | 
| Last Update Date | 2025-02-10 |