| NPI | 1578841342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LAC-12985) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC 12985) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2012-01-05 |