| NPI | 1376670604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 000061) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 019526) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |