| NPI | 1992945877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14034) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005282) |
| 101YP2500X Counselor, Professional (Licence: MD LC3324) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-11-28 |