| NPI | 1700862752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 545) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 010600) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2008-03-18 |