| NPI | 1730310731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3124) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14050) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2023-12-21 |