| NPI | 1316088461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 433) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 642) |
| 101YP2500X Counselor, Professional (Licence: CA 36231) | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2007-07-08 |