| NPI | 1306147517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA LAC1249) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA CRC00109065) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |