| NPI | 1659511178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC13807) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701006674) |
| 101Y00000X Counselor (Licence: MD LC2113) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2023-01-30 |