| NPI | 1447249776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 2687) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2000164975) |
| 101YP2500X Counselor, Professional (Licence: KS 092) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |