| NPI | 1316289671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4982) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP4918) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-04-05 |