| NPI | 1336343086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 1814) |
| Additional Taxonomies | 174400000X Specialist (Licence: c-029548) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |