| NPI | 1982096574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11013) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14505) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2020-12-03 |