| NPI | 1487931747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH3154) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MT1877) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |