| NPI | 1932332095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5740) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2014-06-20 |