| NPI | 1760521801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 3053) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 727) |
| 101Y00000X Counselor (Licence: NE 753) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-03-27 |