| NPI | 1720185416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 002238) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 157) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2013-04-20 |