| NPI | 1427285790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3816) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP 3012) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2011-01-15 |