| NPI | 1427197094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SD #604) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD SD 604) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-08-20 |