| NPI | 1497085047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009032692) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2371) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2014-10-04 |