| NPI | 1316248776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5464) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5242) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2014-08-07 |