| NPI | 1841354867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC1668) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 7137) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-11-12 |