| NPI | 1235445966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3862) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006973) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2018-06-11 |