| NPI | 1598121998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006469) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14289) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |