| NPI | 1245521483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6064) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 10322) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2013-09-16 |