| NPI | 1306126867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC LPC14199) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP3952) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2012-04-24 |