| NPI | 1124356738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7392) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 005789) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2022-07-21 |