| NPI | 1003959743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC2826) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2016-01-29 |