| NPI | 1578944682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6539) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC NCC298949) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-08-31 |