| NPI | 1306964705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 3291) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 7929) |
| 101Y00000X Counselor (Licence: 207423) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-06-03 |