| NPI | 1376275107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12954) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00858400) |
| 101YP2500X Counselor, Professional (Licence: DC PRC15405) | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-07-26 |