| NPI | 1023330768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2233) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4963) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2015-07-13 |