| NPI | 1245421411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR P0505032) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 16627) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |