| NPI | 1144430687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0099601) |
| 101YP2500X Counselor, Professional (Licence: CO 4662) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-04-05 |