| NPI | 1245379809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2246) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2187) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-02-13 |