| NPI | 1861825424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2043) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14347) |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2015-12-25 |