| NPI | 1639477839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008010191) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LPC 2202) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2012-05-29 |