| NPI | 1700337094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9448) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14492) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2024-07-28 |