| NPI | 1780013540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7303) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC200001560) |
| 101YP2500X Counselor, Professional (Licence: VA 0701010913) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2023-06-05 |