| NPI | 1568525517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2270) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14379) |
| 101YP2500X Counselor, Professional (Licence: VA 0701004140) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-02-21 |