| NPI | 1922560366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC11133) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC LGPC00744) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-06-30 |