| NPI | 1023036183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002127) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL SW4204) |
| 101YP2500X Counselor, Professional (Licence: NY R014042-1) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |