| NPI | 1497738165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 1701) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ 10137) |
| Enumeration Date | 2005-11-26 |
| Last Update Date | 2007-07-08 |