| NPI | 1609307040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10320) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC LGPC00235) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-04-03 |