| NPI | 1144309295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2630) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2001031970) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-01-06 |