| NPI | 1427492883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6104) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 1349) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |