| NPI | 1689903734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C1795) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C1795) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |