| NPI | 1023259157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 6075) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO Unl Psy 10286) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2012-02-20 |