| NPI | 1275737124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001018627) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MO C-035828) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |