| NPI | 1497097935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4894) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 86699) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |