| NPI | 1619694957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200002265) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC15774) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2025-02-05 |