| NPI | 1306934401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY KY-0983) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ AZ-12994) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-09-10 |