| NPI | 1235300781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5518) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001201) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2010-01-06 |