| NPI | 1053493189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 213) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2000152681) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |