| NPI | 1427031392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7551) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1675) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2021-06-18 |