| NPI | 1548412349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO CS 000526) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 50475) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |