| NPI | 1528203171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001009458) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO S-1009) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |