| NPI | 1467773143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010019251) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2010019251) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |