| NPI | 1265572283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001540) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2018-11-14 |