| NPI | 1053443515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5050) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4794) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2007-07-08 |