| NPI | 1609096551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C0984) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 4395) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-10-27 |