| NPI | 1174668867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1324) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 729) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-09-08 |