| NPI | 1336411834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1494) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR 63404) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |