| NPI | 1518149566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9485) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1342) |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2013-02-13 |