| NPI | 1285705616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 0094) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC 80000101) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |