| NPI | 1578043071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14900) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC8263) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2021-01-18 |