| NPI | 1487924312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2369) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 2337) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-06-08 |