| NPI | 1336418813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14092) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5096) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2014-06-24 |