| NPI | 1518111681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2746) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0000440) |
| 101YP2500X Counselor, Professional (Licence: PA PC004912) | |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2009-07-30 |