| NPI | 1417206137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC00011255) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 11773) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-02-21 |