| NPI | 1780867580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6802) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0000443) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-05-12 |