| NPI | 1598725095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 520) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4158) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-09-25 |