| NPI | 1548315187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11209) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2004024005) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-12-16 |