| NPI | 1912477647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC PRC14827) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701007939) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2023-11-20 |