| NPI | 1285900837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3789) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006236) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2013-05-02 |