| NPI | 1013206135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3868) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC PRC14590) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2016-11-03 |