| NPI | 1467569335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 3375-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 42235-030) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |