| NPI | 1750472072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 7558) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MS 964) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-05-24 |