| NPI | 1386081073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA 006254) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 006254) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |