| NPI | 1720370455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 7027A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A8252) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2012-12-03 |