| NPI | 1245634930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1518) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC660) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |