| NPI | 1598807133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2335) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 388) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |