| NPI | 1447555719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2162) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2010038930) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |