| NPI | 1730310731 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14050)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3124)  | 
| Enumeration Date | 2009-08-07 | 
| Last Update Date | 2025-09-25 |