| NPI | 1245529106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA 7375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5495) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2015-03-16 |