| NPI | 1972797074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0087) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD LC0087) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |