| NPI | 1336263474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2499) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 2499) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2015-05-22 |