| NPI | 1043431752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0666) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2000) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |