| NPI | 1396145009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 1573-26) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 16629-130) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |