| NPI | 1922320100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2364) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13950) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2013-05-09 |