| NPI | 1174784193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14110) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004340) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2011-01-20 |