| NPI | 1770890691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001009452) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5741) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |