| NPI | 1033245170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 2377) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 294) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2007-07-08 |