| NPI | 1497336127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DC PRC15527) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701010807) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-10-27 |