| NPI | 1689286411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LGP10693) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC LGPC00796) |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-31 |