| NPI | 1508013582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3568) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP2848) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2019-07-12 |