| NPI | 1659928968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10985) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC200002074) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2024-08-12 |