| NPI | 1457686412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 129) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 129) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2014-12-16 |