| NPI | 1477835932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 122) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2010005575) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |