| NPI | 1336165141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4625) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5098) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-05-10 |