| NPI | 1669057832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC3818) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC PRC14560) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |