| NPI | 1316042799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 4209) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3764) |
| 101YP2500X Counselor, Professional (Licence: MN 00276) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-07-20 |