| NPI | 1124332937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0907) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701002955) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |