| NPI | 1487931374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 760) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 760) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |