| NPI | 1194076323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4226) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MD 13-9188) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2013-07-12 |