| NPI | 1487625224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 67015) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2000161099) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |