| NPI | 1720060296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 000511) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 000641) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |