| NPI | 1871122432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC10266) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC LGPC00519) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |