| NPI | 1982278644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC68) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5400) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |