| NPI | 1649821752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC15075) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701013741) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2025-09-26 |