| NPI | 1306085089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4336-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 97-226) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2011-02-24 |