| NPI | 1396098794 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14456) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC8933) | 
| Enumeration Date | 2012-10-23 | 
| Last Update Date | 2023-05-10 |