| NPI | 1043431463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 001570) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-05-22 |