| NPI | 1720257728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1588) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 139) |
| 101YP2500X Counselor, Professional (Licence: LA 202454) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |