| NPI | 1780633479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 560) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 1776) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-07-08 |