| NPI | 1588704134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 4621) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 3457) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |