| NPI | 1467502476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3996) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NCC #201141) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-02-22 |