| NPI | 1396136438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7577) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: DC PRC14633) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2023-03-13 |