| NPI | 1689935744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC1057) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC13604) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |