| NPI | 1568661700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 20030322241) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2003032241) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2009-01-21 |