| NPI | 1770736134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM 0118721) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM T-0117601) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2010-07-09 |