| NPI | 1356524052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008030793) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 597) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2009-02-13 |