| NPI | 1013389865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD AT103) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC146383) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |