| NPI | 1497820484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0105251) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 79861) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-08-28 |