| NPI | 1063798676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9090) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9090) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2014-02-21 |