| NPI | 1528518578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7809) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7154) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2017-06-08 |