| NPI | 1487986410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C2109) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701002235) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |