| NPI | 1518271915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5238) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5033) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2011-01-14 |