| NPI | 1144422478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS W5953) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 4312B) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |