| NPI | 1194970301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3697) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP2978) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2010-11-04 |