| NPI | 1033426085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 3053) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 54834) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-11-16 |