| NPI | 1043550445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PA 7358146) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 0000367) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |