| NPI | 1679722771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2248) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2012) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2012-03-27 |