| NPI | 1467796409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11373) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 1267) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-02-16 |