| NPI | 1861917015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14805) |
| 101YP2500X Counselor, Professional (Licence: MD LC11270) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2022-02-07 |