| NPI | 1912772583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC LGPC200001591) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP16368) |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2025-09-19 |