| NPI | 1356420251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC2920) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-01-04 |