| NPI | 1861899676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD PC7182) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701009146) |
| 101YP2500X Counselor, Professional (Licence: DC PRC14799) | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2026-03-26 |