| NPI | 1275716482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1204041) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 1076) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2012-04-27 |