| NPI | 1073841128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 3195) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4093) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |