| NPI | 1528463395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7846) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC15314) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2023-11-22 |