| NPI | 1932588696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DC PRC14940) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701008522) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2023-10-24 |