| NPI | 1396848545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 001209) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 018) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |