| NPI | 1508977018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OH F 056) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E 1944) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |