| NPI | 1235338773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 1094, Provisional) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2013-04-05 |