| NPI | 1992287270 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC15373) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC12578) | 
| Enumeration Date | 2018-09-03 | 
| Last Update Date | 2023-01-30 |