| NPI | 1639418502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 694) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR CO556) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |