| NPI | 1033545611 |
|---|---|
| Former Name | DODY STAR FREED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |