| NPI | 1457518938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MT 1032) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3699) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2012-11-08 |