| NPI | 1427033737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 1017) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 2275) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2012-08-06 |