| NPI | 1548495690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 6899) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 00009483) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |