| NPI | 1629110317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0086191) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |