| NPI | 1275866345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0149731) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM t-0119981) |
| 101Y00000X Counselor | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2013-08-08 |