| NPI | 1891336574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC15153) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701008671) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |