| NPI | 1770634289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2293) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14095) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2010-11-10 |