| NPI | 1043402514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2307) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 1889) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2013-05-14 |