| NPI | 1417068354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 875) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 7630131-6004) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-04-23 |