| NPI | 1700436607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC LGPC00367) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP7807) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-17 |