| NPI | 1700376563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC8658) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC LGPC00187) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |