| NPI | 1457543506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0119901) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 9123) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2013-05-08 |