| NPI | 1003121955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1586) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1307) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |