| NPI | 1053429357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4346) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 0000001924) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2012-12-05 |