| NPI | 1659669109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 1730176934) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5160) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |