| NPI | 1386612232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 45329) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4188) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-09 |