| NPI | 1437315918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1900) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7635) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2010-03-09 |