| NPI | 1518920503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8534) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4645) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2011-03-31 |