| NPI | 1518366129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14334) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701007182) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2024-01-18 |