| NPI | 1538943535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC PRC200001619) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC14289) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-03-13 |