| NPI | 1558592014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 3427) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 4617) |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2009-08-01 |