| NPI | 1497091755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NM 5626) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM certification) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |