| NPI | 1841605391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1707) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13799) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2024-03-27 |