| NPI | 1407448152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200001629) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701014861) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2025-05-15 |