| NPI | 1912367301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP6595) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC10408) |
| 101YP2500X Counselor, Professional (Licence: VA LPC0701011463) | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2022-06-30 |